Staci-Marie Balog Norman, PHARMD, CDE

Primary specialty

PharmacistTaxonomy code 183500000X

License

26018206A Issued in IN

Practice address

760 West Cotter Street
South Bend, IN 46613

Phone

(574) 993-1737

Fax

(574) 251-2446

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1689836405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WEST COTTER STREET",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46613",
            "telephone_number": "574-993-1737",
            "fax_number": "574-251-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WEST COTTER STREET",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46613",
            "telephone_number": "574-993-1737",
            "fax_number": "574-251-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "STACI-MARIE",
        "middle_name": "BALOG",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26018206A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth A Noeldner
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• Christopher S Norborg, M.D.
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• Sean P Norris, HAD
• North Central Neurology, LLC (John A Galea, M.D.)
• North Point Pediatric Dentistry
• Northen Indiana Health Center

• Pharmacist in South Bend, IN
• Providers in South Bend, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.